Individual
MRS. NKECHI PATRICIA JIABANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-PMH
Contact information
Practice address
8511 HARFORD ROAD, PARKVILLE, MD 21234
(443) 653-0074
Mailing address
1924 ELLINWOOD ROAD, BALTIMORE, MD 21237
(443) 852-6944
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R172740
MD
Other
Enumeration date
09/17/2020
Last updated
10/05/2021
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